There are no studies that correlate appendicitis with anger and fire. Inflammation of the appendix is mainly due to bacterial infection or ischemic necrosis of the appendiceal lumen due to obstruction, with fecal stone obstruction being the most common, and the appendix grows at the end of the cecum with only one artery connected to supply blood to the appendix. Therefore, once the appendix is blocked, the blood is not available, which can easily cause ischemic necrosis. In addition, there are a large number of lymphoid follicles inside the appendix, which will rapidly proliferate when bacteria invade the appendix, thus blocking the appendiceal lumen and forming appendiceal inflammation. After appendicitis has occurred, surgical removal is recommended if a definite diagnosis is made, but the first episode can be treated conservatively. In the case of recurrent appendicitis or acute attacks of chronic appendicitis, surgical removal is recommended.